How much coverage is available under the Accidental Death & Dismemberment Insurance Policy?
Accidental Death & Dismemberment Insurance is provided for active employees only in the amount equal to their Basic Life Insurance coverage.

Under what circumstances are benefits paid under the AD&D Policy?
The full amount of the AD&D Insurance is paid for loss of:

Life, or

Both hands or both feet, or

Sight of both eyes, or

Speech and hearing, or

Quadriplegia, or

Any two or more of the following: foot, hand, sight of an eye

Three-quarters of the AD&D Insurance is paid for paraplegia.One-half the amount of the AD&D Insurance is paid for loss of:

One hand, or

One foot, or

Sight of one eye, or

Speech, or

Hearing, or

Hemiplegia

One-quarter of the AD&D Insurance is paid for loss of thumb and index finger on the same hand.
An additional benefit of 10% of your AD&D Insurance (up to $10,000) is paid for loss of life in a four-wheel vehicle while using a seatbelt or airbag.

Also, the loss must:
a) Be caused exclusively by accidental means
b) Be the result of the injury, directly and independently of all other causes, and
c) Occur within ninety days after the injury.

AD&D does not cover loss due to:

Suicide or attempted suicide

Intentionally self-inflicted injuries

Sickness

Medical or surgical treatment of sickness

Certain infections

War or certain military duties

Travel or flight in any aircraft not intended to transport passengers

Being legally intoxicated or under the influence of any narcotic unless administered or consumed on the advice of a Doctor

Who receives the insurance amount on these policies?
In the event of your death, the insurance amount is payable to your beneficiaries. All benefits under the AD&D Insurance other than for loss of life are payable to you.

Can I change my beneficiary?
Yes.
You may change your beneficiary at any time by completing Form 1060 which you can obtain from your Agency Human Resources personnel. It is suggested that you keep your beneficiary designation up-to-date. Retirees must contact MBF to obtain Form 1060.

Can I assign my Basic Life and AD&D Insurance?
Yes. Keep in mind that when you assign your insurance policy, you perform an irrevocable transfer of all property rights, title, interests and incidents of ownership, both present and future, relating to the assigned policy.

Contact:
For more information on assigning your benefits, please call the Fund Administrative Office at (212) 306-7290; if outside New York City at (800) 4000MBF (800-400-0623), or if hearing impaired call the TTY number at (212) 306-7629.

How are claims filed?
Claims for Basic Life Insurance and Accidental Death & Dismemberment Insurance are processed by the Fund. For forms, beneficiaries should contact the Fund Administrative Office at (212) 306-7290; if outside New York City at (800) 4000MBF (800-400-0623), or if hearing impaired call the TTY number at (212) 306-7629.

Can I continue coverage when I am no longer a member of MBF?
Yes. If your Basic Life Insurance coverage is reduced or terminated, protection will continue for 31 days. During this time, you may choose one of the following options:

Purchase an Individual Policy through Prudential Insurance Company of America with proof of evidence of good health, or

Convert you Group Policy to an Individual Policy without proof of evidence of good health.

Of the two options listed, you may obtain a lower rate by providing evidence of good health and purchasing an Individual Policy. Prudential can refer you to the appropriate agent by calling 1-877-889-2070.

Please be advised that there are no conversion opportunities or Individual Policies available for Accidental Death & Dismemberment Insurance.

Employee Assistance Programs (EAPs)EAPs are staffed by professional counselors who can help employees and their eligible dependents handle problems in areas such as stress, alcoholism, drug abuse, mental health, and family difficulties.